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NPI Code Detail

MEDICARE: TARA BAKER

MEDICARE: TARA BAKER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorMO

General Provider Information

NPI Number : 1659217891
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARA BAKER
Provider Business Mailing Address
First Line : 4108 AREY RD
Second Line :
City : BATES CITY
State : MO
Zip : 64011-8133
Country : US
Telephone Number : 816-417-2832
Fax Number :
Provider Business Practice Location Address
First Line : 100 S PREWITT ST
Second Line :
City : NEVADA
State : MO
Zip : 64772-1760
Country : US
Telephone Number : 816-417-2832
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2026
Last Update Date : 06/23/2026

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Directions to “ TARA BAKER ” Practice Location

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